REPORT NO: (Sequential Number)

QC SURVEILLANCE REPORT INSPECTION DATES

Qatar Petroleum P.O/COA No: DATE OF VISIT:

DESCRIPTION: NEXT VISIT: (Try to confirm date)
      DATE REPORT TRANSMITTED:
(Within12 to 48hrs of visit)

PROMISED DELIVERY DATE:      As Per P.Order VENDOR LOCATION:

PROJECTED DELIVERY DATE:      
MANUFACTURER:      
INSPECTION DETAILS
SUB-SUPPLIER/S:
      TRAVEL(TO/FROM)
INSPECTION TOTAL DISTANCE
HOURS (in Km)
PROJECT :       1. Start location
CONTACT :       2. Inspection location            
POSITION :       3. Return Location            
TEL. NO. :                  

ITEM NOS. QTY. TAG NOS. BRIEF DESCRIPTION WORK SERIAL NOS.
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
* Details should be as per Qatar Petroleum Purchase Order Document ONLY.

SURVEILLANCE/TESTING (DETAILS) IN ACCORDANCE WITH SUPPLIER’S QUALITY PLAN.

Details of ITP and Test criteria to be identified. (i.e Procedures, Codes of practice, Specifications etc)

SUMMARY/PROBLEM AREAS HIGHLIGHTED ITEMS REQUIRING A RESOLUTION OR ACTION.

Any areas of concern must be identified and reported immediately i.e Change to P.order,
Specifications,Quality issues, Deliveries etc. Note, material is not to be released unless it is as per
Q.P’s P.Order requirements or changes have been approved by QP.

Percentage completion status

Engineering/Desig Material in Stock Manufacture Overall completion
n
INSPECTED BY: REPORT REVIEWED BY: ATTACHMENTS:

NAME:       DATE:       MINUTES OF MEETING

RELEASE NOTE NO.:
REJECTION NOTE NO.:
SIGNATURE: RECEIVED BY:       PUNCH LIST NO.:
OTHE DOCUMENTS: (PLEASE SPECIFY)
STAMP: REVIEWED BY:       (Tick Boxes that is relevant to the report.)

SIGNATURE:      
(To be signed by Velosi coordinator
prior to submittal to Qatar Petroleum)
DISTRIBUTION: INSPECTION EXPEDITING USER INSPECTOR OTHERS

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VELOSI CERTIFICATION - QATAR
 QC REPORT
(CONTINUATION SHEET)

1.0 SUMMARY of VISIT.

Give brief statement on purpose of visit

2.0 PERSONS PRESENT:

Note who’s is present on inspection visits

3.0 DOCUMENTATION USED FOR INSPECTION:

Inspector to list Documents, Drawings, Specifications etc used in inspection
(Note, Inspector to clarify approval status)

4.0 INSPECTION CARRIED OUT:

Inspector to identify what inspection was carried out and to what requirements.
The sequence of Inspection checks should be in a logical sequence.
It is important to describe what was checked, how and what against,
e,g procedure no API 6A clause 1.2 etc
Followed by a record of the findings/observations. ,
Results of Inspection Acceptance/Rejection shall be clearly mentione on the report.
Note, if order is for stage Inspection. At PIM inspection, Inspector to review Inspection Test Plan
and incorporate Points of inspection i.e. Hold, Witness, Review etc and submit with PIM report
for final approval.

5.0 STATUS OF ORDER (Balance of P.order)

Inspector to list all items related to the order and identify against each item the
exact status. i.e. What’s been Released, What’s outstanding & approx completion,
Has it been shipped etc. (Use an Excell sheet format)

6.0 FINAL REVIEW OF DOCUMENTATION

Inspector to review and stamp the certification and relevant reports. Inspector
to check that certification is as per the requirements of the P.order and specifications.
i.e Cross check heat numbers with equipment, Check chemical analysis, Impact testing,
Yield & Tensile, Hydrotesting, Functional Testing, Proof load testing (as per QP
Lifting Equipment regulations. QP-REG-00-R3) etc. Note, proof load test certificate to
be passed to Velosi Doha office for verification prior to release of material
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VELOSI CERTIFICATION - QATAR
 QC REPORT
(CONTINUATION SHEET)

7.0 SHIPPING and PACKING

Inspector to check that packing is as per P.Order packing requirements (If applicable)
and confirm that material is packed and acceptable to be shipped without
containing any major damage while in transit.
Material/Valves should be well supported on strong base, secured to base to avoid
movement inside the packing. Fragile items as such as Pressure gauge/ regulator should
be additionally protected by covering with Air bubble polyethylene sheets,and placed
away from wall of side packing avoid direct impact on the item.
Ensure one copy of Packing list and one copy of Certification package/Dossier is kept
inside the packing. One copy of packing list shall be attached outside the packing.

8.0 RESULTS AND CONCLUSION:

     Inspector to identify the positive as well as the negative abilities of the manufacturer
during inspection and expediting.

9.0 NEXT VISIT/EXIT CALL:

     This needs to be confirmed prior to leaving the facility. Only use TBA if necessary.
However if used, follow up with the supplier on a regular basis to
obtain next inspection/expediting date and when identified advise coordinator in Doha.

10.0 AREAS OF CONCERN/ACTION:

Inspector to advise immediately of any areas of concern of action needed.
A Flash report shall be sent to QP directly in case of any discrepancy /concerns.

11.0 PHOTOGRAPHS:
Digital photographs to be taken at key inspection points and final product.

12.0 ATTACHMENTS:
     Copy of certificates to be attached to final report.
13.0 RELEASE NOTE:
Shall have Sl.No./Tag No. as per Q.P, P.Order. Copy of Release Note to be faxed to QP
directly from the Manufacturer.

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VELOSI CERTIFICATION - QATAR